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Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
min/m2 HR*SV VO2 ... /Ca-vO2 (fick) ... )/(Ccap02-CvOz)) ... +(Pa2*0.0031) CvO2 ... mL/dL (CaO2)-(CvO2
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
arterial blood CaO2 ... output) - Low SvO2 ... MetHb) - Low CaO2 ... → Low SvO2 → Low ... High PaO2, High SvO2
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
oxyhemoglobin saturation (SvO2 ... Oxygen uptake (VO2 ... conc x [SaO2 – SvO2
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology ICH Management: 1. Manage Blood Pressure •
Pathophysiology ICH Management ... ICP Physiology: CO2 ... : • Low CO2 = ... CPP) • High CO2 ... #neurosurgery #management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... CVP) for age, Scvo2 ... Pediatrics #Sepsis #Management
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Diagnosis and Management ... signs (heart rate, CO2 ... Differential #Diagnosis #Management
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 < 24mmol/L) CO2 ... HCO3 > 28mmol/L) CO2
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
PETCO2 - End-tidal CO2 ... PACO2 - Alveolar CO2 ... - Mixed venous CO2 ... PaCO2 - Arterial CO2
HFNC compared to NIV HFNC: - Comfort - Higher comfort Eating, drinking and speaking less impaired -
Mostly reduced - CO2 ... Nasopharyngeal CO2 ... #comparison #management
Weaning from the Ventilator - Algorithm Setting up for extubation success • Decrease demand — correct metabolic
acidosis, decrease CO2 ... #CriticalCare #Management
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